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人工跳跃式移植物在尸体供肝移植治疗门静脉血栓形成中的应用价值

Usefulness of artificial jump graft to portal vein thrombosis in deceased donor liver transplantation.

作者信息

Hwang Hong Pil, Yang Jae Do, Bae Sang In, Hwang Si Eun, Cho Baik Hwan, Yu Hee Chul

机构信息

Department of Surgery, Chonbuk National University Medical School and Hospital, Jeonju, Korea.; Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Korea.

Department of Surgery, Daejeon Sun Hospital, Daejeon, Korea.

出版信息

Yonsei Med J. 2015 Mar;56(2):586-90. doi: 10.3349/ymj.2015.56.2.586.

Abstract

Severe portal vein thrombosis (PVT) is often considered a relative contraindication for living donor liver transplantation due to high associated risks and morbidity. Meanwhile, improvement in operative techniques, resulting in higher success rates has removed PVT from the list of contraindications in deceased donor liver transplantation (DDLT). In this report, we describe a surgical technique for DDLT using polytetrafluoroethylene graft from the inferior mesenteric vein for portal inflow in patient with portomesenteric thrombosis.

摘要

由于严重门静脉血栓形成(PVT)相关风险和发病率较高,其常被视为活体供肝肝移植的相对禁忌证。与此同时,手术技术的改进提高了成功率,使得PVT在尸体供肝肝移植(DDLT)中不再属于禁忌证范畴。在本报告中,我们描述了一种针对患有门静脉肠系膜血栓形成的患者,在DDLT中使用来自肠系膜下静脉的聚四氟乙烯移植物进行门静脉血流重建的手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4055/4329377/5bc5ea163501/ymj-56-586-g001.jpg

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